Individual
ERIC RAYMOND MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E NICOLLET BLVD, LL50, BURNSVILLE, MN 55337-6732
(612) 672-6653
Mailing address
12108 ALLEN DR, BURNSVILLE, MN 55337-3015
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2939
MN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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